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Dysthmia=severe depressio
3.5 years ago I went to psychiatrist as I was feeling depressed.Doctor diagnosed with dysthmia and gave me fluvoxin or fluvaxamine.I am very ok but I have to take
daily as I do not feel normal without medication.As doctor said I have to take throughout life.Is their any treatment in Psychiatry by which I can remain normal without fluvaxamine?As fluvaxamine is very sedative I feel very sleepy always.
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Dear Practo user
We need to review your history to confirm the diagnosis so that a decision can be taken about your medication. Some psychiatric disorders are chronic disorders like diabetes or hypertension. So we need to weigh the risk and benefit of continuing or stopping the medication. Also your concerns need to be addressed regarding side effects of the medication. Psychotherapy may also be considered. So a detailed discussion needs to be done with your treating Psychiatrist and I am sure your concerns will be addressed.
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detailed collaborative discussion with psychiatrist
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Changing the time of medicine may help. Or even the med itself. Agents like flunil and vilazodone are good and can be continued in low dose without sedation or side effects. Ask your doctor about it. Yes you should also use stress busting measures side by side.
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It is a strange that psychotherapy and counseling is under emphasized in depression. you must first get a COUNSELING DONE.
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get counseling done
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Ms. Tishya Mahindru Shahani
Psychologist
11 yrs exp
Vadodara
hi, please visit a psychologist in your area and seek psychotherapy. therapy is not addictive like medication and will help in stabilizing your mood also.
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Dr. Kavita Sagarkar
Psychiatrist
25 yrs exp
Mumbai
Hi, you will benefit from counseling or therapy from a competent Psychiatrist.
Dysthymia as opposed to Depression shows that there are more Psychological or environmental factors affecting your Depressive state. It will require change in your perceptions about yourself and your surroundings.
At present, continue your medication, speak to your doctor about feeling drowsy with medication and ask for a solution to that.
In the long run as I said you will benefit from counseling or therapy. Then with the guidance of the doctor you can gradually get off medication. It is not necessary to take medicines for lifelong, but after you have made changes in yourself through therapy, it will be easier to get off medication.
Hope this helps. All the best!
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.